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AP �]/�I}� \.�/ /— CITY OF EVERE'fT <br />No. ���++' �' �GJ <br />APPLICATION fOR WATER SERVICE <br />SERVICE '� i' ;- t�� <br />ORDER NO. "� - °� <br />DAT�/�. --kS_r2--19� <br />FIXED <br />� O� W. O. <br />� DEPOSI" p��� NO.— ---- <br />� ,(f �j�,�j1'� s{' ([��''a��%—/O C�� 6/JQ <br />SERVICE (eY A R�eI_—���ry-��--/-u- �I � -�l'L"��`^�„'�"��LI('2�� LOT_ ADD.�1s�j— <br />OWNF /�_T_- �3�� ��' CONTRI�C70R_ _ -__ __ ._— <br />INSTAL ETERED SERVI : ----�--- -- !- _ <br />1 HEREBY APPLY FOP THE USE OF WATER IN AC�ORDANCE W�iN THE / � <br />O`OINANCES AND POLICIES OF THE WATER DEPARTMENT NOIY EXISTING 51crvEo>� -- - --- - -- -- <br />Oh \5 SAME MAY BE HEREAFTER CHANGED. -� -� <br />MATERIALS � IN. I N. I 2 IN. I '. I PPICE AMOWIT <br />PIPE PL.LS%/ COPPER -- GALV. -- S7EEL __ _ �����_. _L-- �� <br />GORPORATION <br />CURB COCK OT <br />SERVICE BOX __ <br />METER VALVE __ <br />METER No. <br />METER BOX GO <br />PLASTIC -• G 1 �_ <br />___ _ . _ ___--__ _ -- <br />--._ _ _ _-- I � <br />TYPE: I ��' I <br />��� - -. _._-. __- <br />tETE •��EE� SMP.LL LAHGE __ _I' <br />i �_r_�-+—_ __.__ <br />_— /_r� Bc:�i(0 �Q�l'�..__ <br />j`=�-�°� _M€T6/I-�i��, <br />I'� 8'=7-9=Ys'y_rP_s'�4 <br />pATE INSTALLED: <br />CODE <br />� ON <br />_ �/ I � OFF <br />LABOR AND EOUIPMENf RENTAL <br />_� -- — �� �--�'�' °- 1 d <br />-- <br />(/ � <br />� �' !� �: . -- <br />REMARKS: <br />SUB TOTAL <br />NOURS RATC <br />�" <br />G- J <br />-�-- -- <br />�-- -- <br />f�� --- <br />1b <br />� � --- <br />� TOTAL <br />r' <br />